Organization Active NPI

Assisted Living at Bloomfield Manor

  • Adult Care Home Facility
  • Scottsdale, AZ
National Provider Identifier
1821117326
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALH-4868 Issued in AZ
Legal business name
ASSISTED LIVING AT BLOOMFIELD MANOR
Practice address
5815 E Aire Libre Ave
Scottsdale, AZ 85254-9221
Phone
(602) 441-2563
Fax
(602) 354-7129
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Beth Glover
Title
Administrative Manager
Phone
(602) 441-2563

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH-4868 AZ
Alzheimer Center (Dementia Center) 311500000X ALH-4868 AZ
Custodial Care Facility 311Z00000X ALH-4868 AZ
Adult Care Home Facility 311ZA0620X ALH-4868 AZ Primary

Addresses

Primary practice location

5815 E Aire Libre Ave
Scottsdale, AZ 85254-9221

Mailing address

6501 E Greenway Pkwy
Suite 103-505
Scottsdale, AZ 85254-2065
Phone (602) 441-2563

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living at Bloomfield Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821117326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "SUITE 103-505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "602-441-2563",
            "fax_number": "602-354-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 E AIRE LIBRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549221",
            "telephone_number": "602-441-2563",
            "fax_number": "602-354-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT BLOOMFIELD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "602-441-2563",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-4868",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALH-4868",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "AZ",
            "license": "ALH-4868",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH-4868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.